Organization
SENIOR CARE CONSULTANTS, INC
Active
Other names
Senior Care Health & Rehabilitation Center-Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE LEWIS (VP CFO)
(972) 303-9000
Entity
Organization
Contact information
Practice address
2815 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2320
(972) 303-9000
(972) 303-9992
Mailing address
1413 EAST I 30, STE 7, GARLAND, TX 75043-4598
(972) 303-9000
(972) 303-9992
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000505405
—
TX
01
—
0219305-01
TMHP COINS
TX
01
—
0226862-01
NHIC COINS
TX
01
—
HH2606
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
06/01/2005
Last updated
11/14/2008
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